Doctor Name: | SHARON KIMBALL |
NPI Number: | 1063508703 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RNNP |
License Number: | 326484 |
Business Practice Address: | 536 Ivy St Grass Valley, CA - 959456126 |
Business Phone Number: | 4152065638 |
Business Fax Number: | 4152064562 |
Mailing Address: | 536 Ivy St, GRASS VALLEY |
State: | CA |
Postal Code: | 959456126 |
Phone Number: | 4152065638 |
Fax Number: | 4152064562 |
NPI Enumeration Date: | 10/04/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WW0101X |
License Number: | 326484 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | CA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Women's Health Care, Ambulatory |
Taxonomy Definition: |